ASUHAN KEBIDANAN CONTINUITY OF CARE MULAI KEHAMILAN SAMPAI KELUARGA BERENCANA PADA NY. "N" DI TPMB ROHMATUL ASTRIANA, S.TR.KEB PONOROGO

Cyndy DwiNingrum, Dika (2025) ASUHAN KEBIDANAN CONTINUITY OF CARE MULAI KEHAMILAN SAMPAI KELUARGA BERENCANA PADA NY. "N" DI TPMB ROHMATUL ASTRIANA, S.TR.KEB PONOROGO. D3 thesis, Universitas Muhammadiyah Ponorogo.

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Abstract

SYNOPSIS
Women are special beings; pregnancy and childbirth are crucial physiological processes in their life cycle. To ensure optimal pregnancy and delivery, the government promotes quality and continuous midwifery services through the Continuity of Care (COC) program. COC is a form of midwifery care that includes maternal monitoring from pregnancy through family planning, with the goal of reducing maternal and infant mortality rates in Indonesia.
This case study covered Mrs. "N" (diagnosed G1P00000) for approximately four months, beginning at 40 weeks of gestation and continuing through postpartum contraception. The history revealed that Mrs. N married at a young age. At the beginning of the follow-up, she complained of abdominal tightness; the author explains that these complaints were consistent with false contractions. Labor proceeded within normal limits, lasting approximately 13 hours—progressing from the latent stage of labor to delivery. Problems during labor included suboptimal contraction strength and prolongation of the active stage of labor.
The baby boy was born with a strong cry, good tone, weighing 2,800 grams and measuring 49 cm long. The placenta delivered spontaneously and completely within five minutes of birth. There was no episiotomy or tearing of the perineum. During the first day of the postpartum period, Mrs. N complained of anxiety related to urination and defecation and the absence of colostrum; these complaints were addressed through education and support. At the postpartum visit on day 7, sore nipples were discovered, which were successfully resolved with recommended care and monitoring. Around day 25 of the postpartum period, the mother reported increased postpartum bleeding—but after a follow-up visit with the midwife, the mother's condition was assessed as good at the third postpartum visit. The baby received early initiation of breastfeeding (IMD) and is exclusively breastfed without supplemental formula; the baby's development is age-appropriate. Regarding contraception, Mrs. N does not want to start immediately but plans to use a 3-monthly injection to space out pregnancies.
During the follow-up, Mrs. "N" experienced no problems requiring referral. During pregnancy, complications were discovered, and the mother was healthy. During delivery, several complications were discovered, but these were resolved. During postpartum, Mrs. "N" only experienced a few minor issues, but these were resolved. The baby was also healthy and well. After this support, Mrs. "N" understood the care of her baby from pregnancy to newborn and agreed to use contraception according to her choice.

This support should have been provided from early pregnancy through contraception, but due to time constraints, support could only be provided from the third trimester. However, this support was sufficient to prevent several potential danger signs in the mother and baby that could have led to death for both. During the support, both mother and baby were healthy and safe. Support needs to be provided by someone familiar with pregnancy and contraception to prevent an increase in maternal and infant mortality rates (MMR) and infant mortality rates (IMR). Support can be provided using technological advances through social media if simply asking about complaints. However, if there are any issues that require examination, a health professional and the patient should meet for an objective examination. To facilitate this, the government should provide facilities and infrastructure to assist every pregnant woman, such as village ambulances and the establishment of alert villages, as well as improving road facilities for easier access to the patient's home.

Item Type:	Thesis (D3)
Uncontrolled Keywords:	Continuity of care, Angka Kematian Ibu, Angka Kematian Anak, keluarga Berencana, Asuhan Kebidanan
Subjects:	R Medicine > RG Midwifery
Divisions:	Faculty of Health Sciences > Department of Midwifery
Depositing User:	Dika Cyndy DwiNingrum
Date Deposited:	02 Sep 2025 06:19
Last Modified:	04 Nov 2025 03:52
URI:	https://eprints.umpo.ac.id/id/eprint/17552

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